| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.62 | $16.55 | $39.47 | |
Aetna
| Professional | $10.62 | $10.72 | $12.85 | |
BCBS
| Facility | $10.68 | $18.05 | $33.97 | |
BCBS
| Professional | $10.62 | $10.62 | $13.28 | |
Cigna
| Facility | $33.45 | $33.45 | $33.45 | |
Cigna
| Professional | $33.45 | $33.45 | $33.45 | |
United
| Professional | $10.62 | $10.62 | $14.77 |